| NPI | 1770683278 |
|---|---|
| Former Name | CHARLENE G GEISS |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: NM CNP-01841) |
| Additional Taxonomies | 363LW0102X Nurse Practitioner, Women's Health (Licence: NM CNP-01841) |
| Enumeration Date | 2006-09-24 |
| Last Update Date | 2018-06-19 |